Community-Based, Caregiver-Implemented Early Language Intervention in High-Risk Families: Lessons Learned

Prog Community Health Partnersh. 2019;13(3):283-291. doi: 10.1353/cpr.2019.0056.

Abstract

Background: High-quality, early caregiver-child interaction facilitates language, cognitive, and health outcomes. Children in low socioeconomic status households experience less frequent and lower-quality language interactions on average than their middle to high socioeconomic status peers. Early caregiver-implemented intervention may help to improve outcomes for these children.

Objectives: This article describes how we used community-based participatory research (CBPR) to develop and implement a community-based, caregiver-implemented early language intervention, including the challenges, solutions, and lessons learned in the process of CBPR.

Methods: We adopted an ethnographic approach to document and analyze our CBPR experiences in multiple phases of the project, including intervention design, training, implementation, and evaluation.

Lessons learned: Developing the CBPR partnership, co-designing and implementing the study, and managing systems- level concerns like obtaining funding were central challenges for the researcher-community team.

Conclusions: The CBPR model enhances early language intervention research by facilitating understanding of families in underserved communities and increasing the cultural relevancy of intervention materials.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anthropology, Cultural / methods
  • Caregivers / education
  • Child, Preschool
  • Community-Based Participatory Research / methods*
  • Cultural Competency
  • Humans
  • Infant
  • Language Development Disorders / etiology
  • Language Development Disorders / prevention & control*
  • Language Development*
  • Program Development
  • Program Evaluation
  • Risk Factors
  • Socioeconomic Factors